School of Public Health, Peking University, Xueyuan Road No. 38, Haidian District, Beijing, 100191, China.
Center for Global Health Equity, New York University Shanghai, Shanghai, China.
Glob Health Res Policy. 2024 Nov 20;9(1):49. doi: 10.1186/s41256-024-00391-w.
The United States plays a crucial role in shaping global health through its policy decisions and engagements. Historically, bipartisan support underpinned U.S. involvement in multilateral and bilateral global health initiatives in advancing its national health, security interests, and foreign policy. However, recent decades have witnessed increased politicization and polarization of global health and fluctuating stances between Republican and Democratic administrations. This commentary speculates the potential implications of the 2024 presidential election on global health, focusing on how ideological differences between parties and previous administrative actions might affect U.S.'s strategies in addressing key global health issues, including governance, funding allocation, sexual and reproductive health policies, responses to humanitarian crises, and efforts to combat climate change. The election may be a critical juncture that could determine whether the U.S. global health strategies will continue to reflect the globalist and liberal policies typically associated with recent Democratic administrations or shift back to the isolationist tendencies observed during Trump's presidency. The outcome will significantly determine the direction of U.S. global health policy and its broader implications for global health equity and security. The conclusions emphasize the necessity of maintaining strong international cooperation and commitment to health as a global public good.
美国通过其政策决策和参与，在塑造全球健康方面发挥着关键作用。历史上，两党支持为美国参与多边和双边全球卫生倡议提供了支持，以促进其国家健康、安全利益和外交政策。然而，近几十年来，全球卫生的政治化和两极化程度有所加剧，共和党和民主党政府之间的立场也在波动。本评论推测 2024 年总统选举对全球健康的潜在影响，重点关注党派之间的意识形态差异和以往行政行动如何可能影响美国在解决关键全球卫生问题方面的战略，包括治理、资金分配、性与生殖健康政策、对人道主义危机的应对以及应对气候变化的努力。选举可能是一个关键的转折点，它可能决定美国的全球卫生战略是否会继续反映与最近民主党政府相关的全球主义和自由政策，还是会回到特朗普总统任期内观察到的孤立主义倾向。结果将极大地决定美国全球卫生政策的方向及其对全球卫生公平和安全的更广泛影响。结论强调了维护强大的国际合作和对健康作为全球公益事业的承诺的必要性。
